| Entity Name: | BROADER MRI OF BREVARD COUNTY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Nov 2022 (2 years ago) |
| Document Number: | P22000083988 |
| FEI/EIN Number | 92-0883298 |
| Address: | 1930 DAIRY ROAD, MELBOURNE, FL, 32909, US |
| Mail Address: | 1930 DAIRY ROAD, MELBOURNE, FL, 32909, US |
| ZIP code: | 32909 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508573239 | 2022-11-02 | 2022-11-02 | 1930 DAIRY RD, MELBOURNE, FL, 329044046, US | 1930 DAIRY RD, MELBOURNE, FL, 329044046, US | |||||||||||||||
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| Phone | +1 321-241-3627 |
| Fax | 3054187498 |
Authorized person
| Name | MR. ANGEL SOTO |
| Role | CEO |
| Phone | 3212413627 |
Taxonomy
| Taxonomy Code | 2471M1202X - Magnetic Resonance Imaging Radiologic Technologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SOTO ANGEL | Agent | 4224 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| SOTO ANGEL | President | 4224 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33021 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-02-01 |
| Domestic Profit | 2022-11-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
